Executive Insight welcomes you to Insider Info: Executive Insight's blog and online community section. Our timely blogs offer posts covering questions, advice and opinions on C-Suite issues from experts in the field; connecting hospital executives nationwide. We have provided tags to assist in locating topics of interest, a profile page to make uniquely your own and a list of our most active discussions to keep you abreast of the latest discussions.

Managing the health risks of member populations proactively is and should be a top priority for all at-risk organizations. Their ability to do so effectively is largely determined by the analytics underpinning and the accuracy of their risk adjustment and stratification ...

[Editor's note: Kirsten Malenke, on staff at ADVANCE, originally wrote this blog.]

Hillary Clinton has been working to expand healthcare coverage since 1979, when she chaired the Arkansas Rural Health Advisory Committee and focused on increasing healthcare access to rural parts of the state. Since then, Clinton has continued the fight by establishing the Children's Health Insurance ...

Medicare in 2016 Medicare has existed in many forms since its inception under LBJ over 50 years ago, but it's safe to say the program has certainly grown in complexity and range since its humble beginnings in 1965.

Today, an estimated 44 million patients are currently enrolled in Medicare, with this number ...

[Editor's note: This post was originally written by Steve Whitehurst, CEO, Health Fidelity.]

As the availability of healthcare data continues to grow, many new technologies for risk adjustment are entering the market. When thinking about adopting a new risk adjustment solution, conduct a realistic self-evaluation in addition to also considering the support capabilities and workflow expertise of potential ...

[Editor's note: This post was originally written byPaul Alper, chairman, EHCO.]

Leaders in healthcare face daily pressure to drive quality and economic efficiencies. This trend has become more prominent as the Centers for Medicare & Medicaid Services (CMS) imposes penalties that demand hospitals do more with less. Today's healthcare executives must find new evidence-based ways to improve practices ...

There is no stopping big data. An entire industry, driven by identifying patterns from extremely large data sets, is set to grow at a blistering pace-26.4% annually through 2018, according to a recent forecast from research firm IDC. The trajectory would mean an additional $41.5 billion ...

[Editor's note: this
article was contributed by Mike Baker, senior vice president and GM of
commercial products, and Maydad Cohen, senior vice president and GM of government
solutions, at hCentive (www.hcentive.com).]

Now that the annual open enrollment period is in the rearview
mirror, what are the ...

[Editor's Note: this
blog was originally written by Mike Sutter, Carle Health System]

Several different "flavors" of telehealth have developed
over the years, with varying degrees of popularity and adoption. Some hospitals
have telehealth systems in an emergency room, allowing ER physicians to
communicate directly with physicians at another ...

[Editor's Note: this
blog was originally written by Matthew Jacobson, President and CEO, SignatureMD
]

The U.S. is experiencing an unprecedented healthcare shift
as Baby Boomers age. This shift is delivering a one-two punch, namely this
aging population requires more and more healthcare, while the boomer ...

The University of Rochester Medical Center ("URMC") recently
agreed to pay a $15,000 penalty for providing patient names, addresses and
diagnoses to a departing nurse practitioner ("NP") without first obtaining
authorization from those patients. The penalty was the result of a settlement
with ...

[Editor's Note: this
blog was originally written by Lorelle Lapstra, VP, Healthcare Products, with
Calgary Scientific]

Over the past five years, hospitals and health systems have
invested millions of dollars to implement electronic health records (EHR).
Today 8 of 10 physicians have an EHR, but much of how they use them has been
focused on meeting ...

Since President Obama announced last month that he wants to
"make America the country that cures cancer once and for all," the
White House has convened the first meeting of the National Cancer Moonshot Task
Force which is chaired by Vice President Biden. The proposed funding includes
$195 ...

As the availability of healthcare data continues to grow,
many new technologies for risk adjustment are entering the market. When
thinking about adopting a new risk adjustment solution, plans should conduct a
realistic self-evaluation in addition to also considering the support
capabilities ...

On Monday, January 4, 2016, President Obama spoke to the
nation, as expected, and issued an executive order regarding gun safety and
measures he feels will help to curb what he called the "epidemic of gun
violence."

Health IT took some big steps forward in 2015, as more mobile and cloud platforms came online, providing easier access to patient records and clinical support resources. The health data interoperability discussion significantly advanced this year as well, with the Office of the National Coordinator for Health IT unveiling its 10-year ...

[Editor's Note: this
blog was originally written by Jim Trivisonno, President of IRI Consultants]

Mounting success along with precedent-setting standards that
ease a union's ability to organize will contribute to a continued focus by
unions on organizing hospitals and healthcare providers, further challenging
employers. Employers will need to focus efforts to ...

In early 2015, the Centers for Medicare and Medicaid Services (CMS) announced
that 50% of payments will be made through alternative or value-based payment
models by 2018. One way for providers to implement value-based ...